Audra Booking Request Form
Audra is offering virtual speaking services to small businesses, corporations, and organizations.

Please complete the form below and please submit the budget you have. All budgets submitted will be reviewed but you MUST submit a budget.

Due to Audra schedule she is not able to accommodate unpaid speaking engagements requests at this time, that quota has been reached for the year. 
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Email *
Point of contact for this event *
Phone Number *
Company Website *
Date of event *
MM
/
DD
/
YYYY
Event time *
Time
:
Details and Purpose of the Event *
What service are you interested in? *
Speaking Budget [ Please input a dollar amount] *
What type of event *
Required
Will this event be open to the public? *
Do you intend to record this event? *
Anything else you want us to know? *
Submit
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